Technology-based Fall Risk Assessments for Older Adults in Low-income Settings

Sponsor

University of Central Florida (Other)

Overall Status

Completed

CT.gov ID

NCT06063187

Collaborator

National Institute on Aging (NIA) (NIH)

124

Enrollment

Location

Actual Duration (Months)

3.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The goal of this observational study is to examine the associations among fall risk appraisal, body composition, and physical activity in older adults in low-income settings.

The main questions it aims to answer are:

What is the feasibility of recruitment (e.g., how many older adults need to be screened to recruit the sample?), especially during the COVID-19 pandemic, and acceptability of technologies and procedures for use among older adults in low-income settings?
What are the the dynamic relationships between fall risk appraisal, body composition, physical activity, and behavioral changes related to fear of falling?

Participants will:

complete questionnaires about their characteristics, socio-demographic, medical history, cognition, depressive symptoms, anxiety, and fear of falling.
participate in static and dynamic balance tests, body composition measurement and handgrip strength test.
wear an accelerometer for physical activity assessment for 7 consecutive days.

Condition or Disease	Intervention/Treatment	Phase
Fall Physical Inactivity Sedentary Behavior

Detailed Description

The investigators will use a cross-sectional design to address aims. The investigators will administer the study instruments which consist of objective and subjective measures. Participants will complete questionnaires about their characteristics, socio-demographic, medical history, cognition, depressive symptoms, anxiety, and fear of falling.

Balance performance will be assessed by the BTrackS Balance System (BBS). This test consists of four, 20 seconds trials. For each trial, the participants will stand as still as possible on the BBP with hands on their hips, and eye closed. This test consists of four trials. This test will take about 5-10 minutes.

Body composition will be assessed using a bioelectrical impedance analysis (BIA): InBody S10. The BIA InBody S10 measures fat mass, muscle mass and body water levels. There are no risks, no dunking, no pinching, no discomfort associated with the use of bioelectrical impedance analysis. Test duration is 1-2 minutes.

Physical Activity (PA) will be measured by activity monitoring devices. All participants will wear the ActiGraph GT9X Link wireless activity monitor (ActiGraph LLC.), a tri-axial accelerometer, on the non-dominant wrist for 7 consecutive days.

Study Design

Study Type:

Observational

Actual Enrollment :

124 participants

Observational Model:

Cohort

Time Perspective:

Cross-Sectional

Official Title:

Technology-based Fall Risk Assessments for Older Adults in Low-income Settings

Actual Study Start Date :

Sep 30, 2020

Actual Primary Completion Date :

Jun 30, 2022

Actual Study Completion Date :

Jul 1, 2023

Outcome Measures

Primary Outcome Measures

Feasibility of recruitment of low-income older adults [Through study completion, an average of 2 years]
The investigators will assess the ability to recruit the participants by tracking the number of days and time spent to recruit the sample.
Acceptability of using technologies in low-income older adults [Through study completion, an average of 2 years]
The acceptability of the technologies and procedures will be examined based on an evaluation form (e.g., what the participants thought about the questionnaires and technology) and participants' recommendations.
Maladaptive fall risk appraisal [Once at baseline, an average of 5 minutes]
A condition in which there is a discrepancy between perceived fall risk (levels of fear of falling) and physiological fall risk (balance performance). Fear of falling will be assessed using the Short Fall Efficacy Scale International (short FES-I) with 7 items and balance performance will be assessed using the BTrackS Balance test. Maladaptive fall risk will be plotted on a electronic graph as the interaction between balance performance on the X-axis and fear of falling on the Y-axis.
Time spent in each physical activity intensity domain [7 days]
Participants will wear the ActiGraph GT9X Link wireless activity monitor (ActiGraph LLC.), a tri-axial accelerometer, on the non-dominant wrist for 7 consecutive days.This device will assess the time (minutes) spent in light, moderate, and vigorous physical activity domains throughout the 7-day assessment period.
Body Composition [Once at baseline, an average of 2 minutes]
Body composition will be assessed using a direct segmental multi-frequency bioelectrical impedance analysis (BIA): InBody s10 device.
Balance Performance [Once at baseline, an average of 4 minutes]
Balance performance will be assessed using the BTrackS Balance test.
Fear of Falling [Once at baseline, an average of 10 minutes]
Fear of falling will be assessed using the Short Fall Efficacy Scale International (short FES-I) with 7 items.The minimum score possible is 7 and the maximum possible score is 28. Scores of 7-8 indicate "low concern," scores of 9-13 indicate "moderate concern," and scores of 14-28 indicate "high concern."

Secondary Outcome Measures

Depression [Once at baseline, an average of 10 minutes]
Depression will be assessed using the Patient Health Questionnaire-9 (PHQ-9). The minimum possible score is 0 and the maximum possible score is 27. Scores of 0-4 indicate "minimal depression," scores of 5-9 indicate "mild depression," scores of 10-14 indicate "moderate depression," scores of 15-19 indicate "moderately severe depression," and scores of 20-27 indicate "severe depression."

Eligibility Criteria

Criteria

Ages Eligible for Study:

60 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

≥ 60 years of age
no marked cognitive impairment [Memory Impairment Screen (MIS) score ≥5]
speak English or Spanish
live in Kinneret Sr. Apartments or in Orlando FL.

Exclusion Criteria:

a medical condition precluding balance test (e.g., unable to stand on the balance plate) and/or PA (e.g., shortness of breath; feeling pressure when performing PA)
currently receiving treatment from a rehabilitation facility
have a metal implant.